Patrick Carroll, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27420 Issued in CT

Practice address

200 Retreat Ave
Research Building, 8TH Floor
Hartford, CT 06106-3309

Phone

(860) 545-7188

Fax

(860) 549-2215

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Take Care Health Mississippi, P. C.

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1033379870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1295773299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "address_2": "RESEARCH BUILDING, 8TH FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7188",
            "fax_number": "860-549-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RETREAT AVE",
            "address_2": "RESEARCH BUILDING, 8TH FLOOR",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063309",
            "telephone_number": "860-545-7188",
            "fax_number": "860-549-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "27420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295773299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrisotpher William Carrington, DDS
• Miriam Carrion-Hawkins
• Nashka P. Carrion
• Omayra M. Carrion, LPCA
• Kathleen Carroll, CPO
• Forrest Logan Carruba
• Allen L. Carter, PHD
• Heather Wilson Carter, APRN
• Kayla Lugo Carter
• Matthew Phillip Carter, PA

• Family Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.